Publications by authors named "Michael J Auth"
Association of Diagnostic Stewardship for Blood Cultures in Critically Ill Children With Culture Rates, Antibiotic Use, and Patient Outcomes: Results of the Bright STAR Collaborative.
Charlotte Z Woods-Hill Elizabeth A Colantuoni Danielle W Koontz Annie Voskertchian Anping Xie Michael J Auth
JAMA Pediatr
July 2022
Article Synopsis
- Blood culture overuse in pediatric intensive care can lead to unnecessary antibiotic use, which contributes to antibiotic resistance, making it crucial to optimize blood culture practices.
- A study evaluated a quality improvement initiative across 14 PICUs that aimed to reduce blood culture rates, antibiotic use, and improve patient outcomes from 2017 to 2020.
- Results showed a significant 33% reduction in blood culture rates and a 13% decrease in broad-spectrum antibiotic use, indicating that the collaborative initiative was effective in promoting better antibiotic stewardship in these units.
Objectives: This report describes the creation and successful implementation of a complicated pneumonia care algorithm at our institution. Outcomes are measured for specific goals of the algorithm: to decrease radiation exposure, surgical risk, and patient charges without adversely affecting clinical outcomes.
Methods: We describe steps involved in algorithm creation and implementation at our institution.